Physician
Goretzke, Sean
Goretzke, Sean was paid $82K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoGORETZKE, SEAN
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
33aNPI1871794172assigned 05/31/2007
28Total paid$82K
24GClaims1,319
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology with Special Qualifications in Child Neurology Physician providers in Missouri
Rank by total paid#9 of 36
Median peer was paid$11K
This provider vs. median7.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 331 | $18K | |
| 2019 | 510 | $31K | |
| 2020 | 262 | $21K | |
| 2021 | 61 | $3K | |
| 2022 | 73 | $4K | |
| 2023 | 27 | $1K | |
| 2024incomplete | 55 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 71% | 855 | 734 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 236 | 216 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.2% | 77 | 73 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.6% | 42 | 36 | $4K |
| 95819 | 4.0% | 109 | 104 | $3K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.